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1487396222
LOGAN DUBOSE
WASHINGTON, DC
NPI
1487396222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-12
Last Update Date
2022-04-12
Business Address
LOGAN DUBOSE MD
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037-3201
Phone number: 202-741-3000
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Mailing Address
LOGAN DUBOSE MD
105 SPANISH MOSS LN
LAKE JACKSON, TX 77566-4314
Phone number: 979-481-9110
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